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Maternity-Basics
BOCES LPN
| Question | Answer |
|---|---|
| Where does fertilization take place? | Fallopian tubes |
| What is the new cell called? | A Zygote |
| How long after fertilization does implantation take place? | 7 Days |
| What is the Zygote called just before implantation? | A morula |
| What is does the morula become that burrow into the uterine wall? | A blastocyst |
| After implantation, what hormone is produced that maintains the corpus luteum and provides a positive pregnancy test? | HCG |
| What is the role of the placenta? | Temporary organ (endocrine) respiration, nutrition, excretion for fetus. Secretes HCG, estrogen, progesterone. Transfers immunity. |
| How long do the embryonic and fetal stages last? | Embryonic = conception to 8 weeks Fetal = 9 weeks to gestation |
| Describe placental blood flow. | From fetus to placenta via umbilical artery From placenta to fetus via umbilical vein |
| What is the total number of weeks of full term pregnancy? | 40 weeks |
| What is Chadwick's sign? | Purplish tinge of vulva and vagina due to vascular congestion/sign of pregnancy upon exam. |
| What is Goodell's sign? | Softening of cervix. Sign of pregnancy on exam. |
| What is Hegar's sign? | Softening of lower part of uterus. Sign of pregnancy on exam. |
| What is the increase in blood volume during pregnancy? | 30-50% |
| How could the increase in blood volume affect a woman with heart disease? | Could cause CHF |
| How much weight should a normal weight woman gain during pregnancy? | 25-30 pounds |
| What are abnormal cravings for non-food substances called? | Pica |
| Risks associated with pica: | Altered nutrition, exposure to toxins, decreased desire for appropriate foods |
| What are the decreased H&H of pregnancy due to? | Hemodilution |
| Common complaints of pregnancy? | Edema, constipation, frequent urination, hemorrhoids, heartburn, backache, n/v, tiredness |
| How can nausea be relieved? | Eating crackers before getting out of bed in a.m. |
| What causes constipation? | Decreased paristalsis |
| When do women usually complain of urinary frequency? | First and third trimesters |
| What is slowing of the HR attributed to? | Raised diaphragm |
| What are the first fetal movements called? | Quickening |
| How much weight should the average woman gain in the first trimester? | 2-4 pounds |
| To accommodate increased need for O2, what supplement should be given? | Iron |
| How frequently will pregnancy checkups occur? | Monthly through 7th month, then every two weeks until last month then every week |
| After the first trimester, what should the height of the fundus of the uterus be? | Equal to #weeks pregnant in cm. |
| What will urine be checked for at regular doctor visit? | Glucose and protein |
| Why would a non-stress test be performed? | Determine adequate placental blood supply |
| What is lamaze? | Natural labor technique relaxing muscles and therapeutic breathing, usually with coach |
| Is amniotic fluid acidic or alkaline? | Alkaline |
| What viral disease will likely cause harmful affects to fetus? | Rubella |
| Umbilical cord contains what vessels? | two arteries and one vein |
| How is the embryo's sex determined? | Sperm carries X or Y chromosomes. Ovum carries only X. XX = girl. XY = boy. |
| What is the medical term for pregnancy? | Gravada |
| What is the protective jelly found in the umbilical cord called? | Wharton's jelly |
| A dark line often appears vertically in the center of the abdomen. What is this called? | Linea nigra |
| What supplement can be offered to help gingivitis in the pregnant pt? | Vit C |
| What vitamin helps to prevent neural tube defect and is now added to many foods for this reason? | Folic acid |
| What is the medical term for stretch marks associated with pregnancy? | Striae gravidarum |
| Why are some women treated with RhoGAM while pregnant? | To protect future pregnancies of an Rh- mother developing antibodies against an Rh+ fetus. |
| What is ballottement? | Physical exam of mother in which uterus is pushed with finger during vaginal exam and fetus bounces away and returns. |
| What is gravida? | Number of pregnancy of mother. |
| What is para? | The number of births of fetus >20 weeks gestation. |
Created by:
shocklori
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